Fachverband Sucht is an umbrella lobbyist organisation of about 250 organisations working on drug prevention, harm reduction and drug dependence in the German speaking part of Switzerland. It embraces professionals and institutions of drug prevention, addiction treatment and assistance, therapy and harm reduction as well as research and further education. It provides a national voice for professionals and organisations working in these fields and brings their arguments and opinions to the political debates and processes and promotes a public health and human rights orientated drug policy.

Fachverband Sucht es una organización paraguas lobbista de 250 organizaciones que trabajan en la prevención de drogas, la reducción de daños y la dependencia a las drogas en la parte de habla alemana de Suiza. Incluye profesionales e instituciones de prevención de drogas, tratamiento de las adicciones, de asistencia y de reducción de daños, así como de investigación y de educación. Proporciona una voz nacional para los profesionales y organizaciones que trabajan en estos campos y trae sus argumentos y opiniones de los debates y procesos políticos, promoviendo una política de drogas orientada hacia la salud pública y los derechos humanos.

Fachverband Sucht est une organisation lobbyiste de 250 organisations travaillant sur la prévention et le traitement de la dépendance à la drogue et sur la réduction des risques en Suisse germanophone. L'organisation inclut des professionnels et des institutions de prévention, de traitement, d'assistance, de thérapie et de réduction des risques, ainsi que celles travaillant sur la recherche et l'éducation. L'organisation offre une voix pour les professionnels et les organisations travaillant dans ce milieu et met en avant des arguments et des opinions au sein des débats et processus politiques en promouvant une politique des drogues basée sur la santé publique et les droits humains.

Fachverband Sucht

Bien que la concomitance de problèmes d’addiction et de difficultés financières ne surprend pas les professionnel·e·s du terrain, les données concernant l’étendue de problématiques duales « addiction-précarité financière » en Suisse sont quasiment inexistantes. La question de comment cette double problématique est perçue et abordée par les professionnel·e·des addictions et ceux/celles du conseil en matière de budget et de désendettement n’avait en outre jamais été documentée.

Fort de ces constats, le GREA, le Fachverband Sucht, Ticino Addiction, Budget-Conseil Suisse et Dettes Conseils Suisse ont mené un projet collaboratif visant à documenter les pratiques des professionnel·e·s des addictions et du conseil budgétaire et du désendettement dans le cas de problématiques duales « addiction-précarité financière » chez une personne suivie. Soutenu financièrement par le Fonds de prévention des problèmes liés à l'alcool (de l’OFSP) et par le Programme intercantonal de lutte contre la dépendance au jeu, ce projet pilote comprenait une analyse de la littérature, des enquêtes en ligne auprès des professionnels et des personnes concernées, ainsi que des ateliers de groupes. Cette démarche visait à garantir que les connaissances issues de la recherche et de la pratique, ainsi que les expériences des personnes concernées, soient intégrées de manière dynamique dans la démarche.

Les résultats de ce projet sont désormais disponibles et montrent qu'il est nécessaire d'agir. Il a été constaté, par exemple, qu'il existe encore trop peu de coopération entre les services des deux domaines. Lorsque la collaboration existe, celle-ci est toutefois vécue de manière positive. À noter aussi que dans les services de conseil en matière de budget et de désendettement, l'opinion dominante semble être que la dépendance doit être traitée au préalable et qu'un conseil en matière de désendettement et de budget n'a de sens qu'en cas de "stabilité" du client. Ceci révèle d’importantes différences de perception entre les professionnel·e·s des deux domaines. A noter que le triage vers l'autre domaine est encore décrit par les professionnel·le·s comme stigmatisant. Aussi, dans le cadre des enquêtes menées auprès de personnes concernées, un nombre important des participants·e·s ont souligné que la deuxième problématique n'était souvent pas suffisamment prise en compte dans le cadre du suivi en place. Le rapport final présente encore d'autres conclusions.

Sur la base de ces résultats, les associations professionnelles concernées élaborent actuellement un nouveau projet visant à s'attaquer aux points faibles existants dans le système de prise en charge, qui englobe également les attitudes des professionnel·le·s concernés.

La synthèse intégrant diverses recommandations ainsi que différents documents de travail (littérature grise) sont disponibles sur le site du GREA.

« Problématique double addiction et précarité financière » - Rapport pour les professionnels sur le projet pilote

89 ONG soulignent la nécessité de s'attaquer aux impacts nocifs des politiques répressives en matière de drogues qui sapent les droits humains. Pour en savoir plus, en anglais, veuillez lire les informations ci-dessous.

To: Ms Ghada Waly, Executive Director, United Nations Office on Drugs and Crime

Subject: Open letter on UNODC statement on International Human Rights Day 2021

We urge you to mark International Human Rights Day 2021 by calling on Member States to change drug policies and practices that violate human rights and perpetuate inequality and discrimination.

We are writing to you ahead of International Human Rights Day 2021, which will take place on the 10th December amidst escalating global demands for the reform of laws and practices that entrench racial discrimination and social inequality, including drug policies. Last year, IDPC – together with dozens of other civil society and community organisations – called on you to issue a statement on International Human Rights Day urging Member States to change drug laws and practices that undermine health and human rights. A year later, we ask you to seize this day as an opportunity to show UNODC´s alignment with other UN entities in calling for an end to drug policies and practices that perpetuate inequality and discrimination, and violate human rights.

For decades, punitive drug policies have driven widespread human rights abuses, as has been amply documented by the UN. These include the death penalty for drug offences; extrajudicial killings; arbitrary detention, often masquerading as ‘rehabilitation’; the denial of access to life-saving harm reduction services; widespread barriers to accessing controlled medicines for pain relief; the criminalisation of people who use drugs, subsistence farmers and others groups in situations of vulnerability; corporal punishment; and mass incarceration. In all of these cases, draconian drug policies have disproportionately affected people marginalised on the basis of their gender, race, ethnicity, and economic status, thus entrenching inequality and discrimination.

Along 2021, a broad range of UN entities called on Member States to reform drug policies with discriminatory outcomes. In June 2021, the UN Working Group on Arbitrary Detention released a landmark study on arbitrary detention and drug polices, which found that ´

the war on drugs may be understood to a significant extent as a war on people. Its impact is often greatest on those who are poor, but also frequently overlaps with discrimination in law enforcement directed at vulnerable groups

´. At the same time, the UN High Commissioner for Human Rights published a new ‘Agenda towards transformative change for racial justice and equality´, highlighting that ´

The discriminatory application of criminal law must be tackled at every stage, including by reforming drug-related policies

´. The High Commissioner´s proposal led to Human Rights Council Resolution 47/21, which contains key commitments to uproot systemic racism in the law enforcement and criminal justice systems. The Political Declaration on HIV and AIDS, adopted in June 2021, also showcased the international community´s commitment to ending inequalities as a step towards ending AIDS. Lastly, the new UN system Common Position on Incarceration, led by UNODC in partnership with other UN entities, notes ‘

the overrepresentation of minority and marginalized groups among prisoners, many of whom are charged with petty and nonviolent offences

support reform efforts aimed at ensuring proportionate and individualized sentencing and alternatives to conviction or punishment in appropriate cases, including for minor drug-related offences

These various commitments emerging across the United Nations are aligned with the 2018 Chief Executives Board’s UN System Common Position on drug-related matters, which makes clear that ‘

should be designed and implemented by States in accordance with their human rights obligations

’, and commits all UN agencies, including UNODC, to support drug policies ‘

that put people, health, and human rights at the centre

Similar human rights concerns have been highlighted in the just-released Global Drug Policy Index, which measures and ranks the national drug policies of 30 countries according to how well they align with the UN system Common Position on Drugs and its Task Team report of March 2019.

The theme of the 2021 International Human Rights Day is ‘Equality: Reducing inequalities, advancing human rights’, and is aimed at ´

addressing and finding solutions for deep-rooted forms of discrimination that have affected the most vulnerable people in societies

´. As such, it presents a crucial opportunity for UNODC to align itself with other UN entities in calling for the end of policies that perpetuate inequality and discrimination, while highlighting its commitment to the promotion of human rights, in line with the UN system Common Positions.

It is in this context that we urge you to issue a strong statement on International Human Rights Day, calling on states to change the drug laws, policies and practices that violate health and human rights, and entrench inequality. To be credible, such a statement should explicitly acknowledge the disproportionate impact of drug laws and drug control on people marginalised on the basis of their gender, race, ethnicity, and economic status, and urge Member States to:

Abolish the death penalty in all circumstances. Imposing capital punishment for drug offences has been found to be contrary to international human rights law by the Human Rights Committee, and the Human Rights Council.

Put an immediate end to extrajudicial killings committed in the name of drug control, as has been repeatedly called for by the Human Rights Council and UN human rights experts.

Permanently close compulsory drug detention centres, including those that masquerade as ‘rehabilitation’, and implement voluntary, evidence-informed, and rights-based health and social services, as recently called for by sixteen UN agencies, including UNODC.

Stress the urgent need to provide accessible, affordable, and adequately funded harm reduction services in community and closed settings, to fulfil the right to health and the right to life of people who use drugs, as demanded by several UN human rights bodies and experts. This is also central to UNODC’s core role as lead UNAIDS co-sponsor regarding prisons and HIV amongst people who use drugs.

Take immediate measures to address prison overcrowding, as already recommended by UNODC and the UN High Commissioner for Human Rights in the wake of the COVID-19 pandemic, by promoting alternatives to incarceration, and ensuring proportionate sentencing for all drug offences, including by taking into account mitigating factors – in line with the basic principle that prisons should only be used as a last resort in all circumstances.

Ensure that people who use drugs are not subject to arbitrary detention, torture, or ill-treatment – whether in state custody or public or private drug services. While under detention, people with a drug dependence or health problems associated with their drug use must be offered evidence-based treatment, harm reduction and other drug services on a strictly voluntary basis.

Promote the end of all punishment for drug use, and drug possession and cultivation for personal use, as permitted within the three drug control conventions. Such policy shifts will help to end the stigma, criminalisation, and exclusion faced by people who use drugs, and to facilitate access to health and social services, as called for by the UN system Common Position, UNAIDS, and UN human rights bodies.

Make sure that drug policies incorporate a gender-sensitive perspective. This should be done by tailoring drug services to the specific needs of women, and by ensuring that criminal laws take into account the circumstances of women involved in drug offences, as most of them come from backgrounds of poverty, marginalisation, and oppression.

Clearly outline the ways in which UNODC will work to achieve these changes, and the measures being taken to ensure that human rights are effectively embedded as a core strand for all of the Office’s work.

As the lead UN agency in drug-related matters, UNODC has the responsibility to promote drug policies that respect, protect, and fulfil human rights, in a way that is consistent with the standards developed by the UN system, and in line with the commitments set in the UN system Common Positions on drugs and on incarceration. A strong statement in the forthcoming International Human Rights Day would be an important and welcome step to signal UNODC’s unequivocal commitment.

We look forward to discussing these concerns and recommendations with you.

Les ONG exhortent la Directrice exécutive de l'ONUDC à marquer la Journée des droits humains par un appel à la réforme des politiques en matière de drogues qui perpétuent les inégalités

Par le GREA, le Fachverband Sucht, Ticino Addiction, Addiction Suisse & la SSAM

La pandémie du COVID-19 pose des questions urgentes dans le domaine des addictions. Au contact du terrain, les professionnels des addictions proposent des pistes d’action pour y faire face. Un document rédigé par le GREA, le Fachverband Sucht, Ticino Addiction, Addiction Suisse et la SSAM apelle à une protection renforcée des usagers et des professionnels ainsi qu' à une plus grande souplesse dans l’application des règles. Il s’inscrit en soutien aux acteurs publics et associatifs qui sont nombreux à s’engager avec force et pragmatisme.

Fachverband Sucht

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« Problématique double addiction et précarité financière » - Rapport pour les professionnels sur le projet pilote

Les ONG exhortent la Directrice exécutive de l'ONUDC à marquer la Journée des droits humains par un appel à la réforme des politiques en matière de drogues qui perpétuent les inégalités

Addictions et COVID-19 : Pistes d’action proposées par les professionnels en Suisse